
#385 Making Neighbourhoods Work with Dr Niruban Ratnarajah
In this episode of The Business of Healthcare, Tara is joined by Niruban Ratnarajah, a GP Partner at Stonehill Medical Centre and Chair of NHS Bolton Foundation Trust. With experience across general practice, neighbourhood working and the wider NHS system, Niruban offers a unique perspective on some of the challenges facing healthcare leaders, and what it takes to move beyond organisational boundaries and focus on what matters to patients and communities. Throughout his career, Niruban has sought to bring the voice of patients and underserved communities from the consultation room into the boardroom. He uses data to understand what works and adapt quickly when change is not delivering benefits for patients or staff, while focusing on transformation and financial sustainability without losing sight of clinical quality or colleague wellbeing. In this conversation, Tara and Niruban explore: GP access and demand - and why the data may tell a very different story from the assumptions made about why patients attend A&E. Relationships and trust - how long-term relationships, honesty and accountability can help organisations work through difficult conversations. Data-driven improvement - why relationships alone aren't enough, and how using data can help practices understand where they are performing and where change is needed. Neighbourhood working - what neighbourhoods could actually mean for patients, from prevention and screening to bringing services closer to where people live. Form vs function - why the focus should be on what needs to be delivered for patients, rather than getting caught up too early in which organisation holds the contract. Getting your own house in order - how practices can optimise their workforce, skill mix and systems before taking on wider neighbourhood responsibilities. PCN relationships - how four practices in Bolton have worked through differences, created equal voices and developed ways of sharing work and resources. Learning from PCNs - why relationships matter, but also why data, evidence, patient need and effective management structures are essential to making collaboration work. One of the key themes running throughout the conversation is the importance of putting patient need at the centre of neighbourhood working, and using relationships, data and practical action to turn that ambition into something that works on the ground. If you work in primary care, neighbourhoods, the NHS or healthcare leadership, there is plenty to take from this conversation. Find Niruban on LinkedIn here .











